Question 1

When dealing with cultural awareness,the nurse realizes that the term oppression involves which of the following?

Accepted Answer

A)  Maintaining advantages based on social group membership 
B)  Systems that maintain disadvantages aimed purely at individuals 
C)  Intentional discrepancies alone 
D)  Issues at institutional levels independent of individual or cultural factors 
A)  Maintaining advantages based on social group membership 
B)  Systems that maintain disadvantages aimed purely at individuals 
C)  Intentional discrepancies alone 
D)  Issues at institutional levels independent of individual or cultural factors A

Question 2

A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?

Accepted Answer

A)  What people of Mexican descent believe 
B)  The relationship between culture and ethnicity 
C)  The fact that the patient belongs to an isolated social group 
D)  Where the person is in the intersections of socially constructed categories 
A)  What people of Mexican descent believe 
B)  The relationship between culture and ethnicity 
C)  The fact that the patient belongs to an isolated social group 
D)  Where the person is in the intersections of socially constructed categories D

Question 3

A student nurse assigned to a female,observant Muslim patient noticed her discomfort with several of the male health care providers.She wonders if this discomfort is related to the patient's religious beliefs.In her preparation for clinical,she learned that Muslims differ in their adherence to tradition,but that modesty is the "overarching Islamic ethic" pertaining to interaction between the sexes (Rabin,2010).The student nurse states which of the following to the patient?

Accepted Answer

A)  "I'm going to request that you only have female physicians see you. Does having male nurses bother you as well?" 
B)  "I know that it's hard to get used to, but you just have to get used to it. That's how it is in America." 
C)  "It must be difficult for people like you to adjust to our ways, but there are limitations for all of us." 
D)  "I know that for many of our Muslim patients modesty is very important. Is there some way I can make you more comfortable?' 
A)  "I'm going to request that you only have female physicians see you. Does having male nurses bother you as well?" 
B)  "I know that it's hard to get used to, but you just have to get used to it. That's how it is in America." 
C)  "It must be difficult for people like you to adjust to our ways, but there are limitations for all of us." 
D)  "I know that for many of our Muslim patients modesty is very important. Is there some way I can make you more comfortable?' D

Question 4

The student nurse has been studying different cultures in relationship to nursing.She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?

Accepted Answer

A)  Understanding that cultural patterns are generated from predetermined criteria 
B)  Knowing that culturally congruent care is based on health care system values 
C)  Understanding cultural similarities and differences among groups of people 
D)  The realization that illness and disease are the same 
A)  Understanding that cultural patterns are generated from predetermined criteria 
B)  Knowing that culturally congruent care is based on health care system values 
C)  Understanding cultural similarities and differences among groups of people 
D)  The realization that illness and disease are the same

Question 5

Health care regulatory agencies,national think tanks,and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication,patient safety and quality,and patient-centered care.Some examples of such organizational policies and practices include which of the following? (Select all that apply.)

Accepted Answer

A)  Instituting a requirement for all staff to be trained in cultural competence 
B)  Maintaining the traditional description of family in written policies 
C)  Enforcing strict visitation policies and practices 
D)  Ensuring that persons who are deaf or speak limited English have access to an interpreter 
E)  Embedding health literacy principles in written and verbal communication 
A)  Instituting a requirement for all staff to be trained in cultural competence 
B)  Maintaining the traditional description of family in written policies 
C)  Enforcing strict visitation policies and practices 
D)  Ensuring that persons who are deaf or speak limited English have access to an interpreter 
E)  Embedding health literacy principles in written and verbal communication

Question 6

The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?

Accepted Answer

A)  They are intrusive and time consuming. 
B)  They are not dependent on a trusting relationship. 
C)  They are rarely plagued by miscommunication. 
D)  They are based in similarities of behavior. 
A)  They are intrusive and time consuming. 
B)  They are not dependent on a trusting relationship. 
C)  They are rarely plagued by miscommunication. 
D)  They are based in similarities of behavior.

Question 7

Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups that are often exacerbated by which of the following? (Select all that apply.)

Accepted Answer

A)  Social status 
B)  Economics 
C)  Environment 
D)  Improved access to health care 
A)  Social status 
B)  Economics 
C)  Environment 
D)  Improved access to health care

Question 8

Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?

Accepted Answer

A)  Understand the cultural norms of the patient's community. 
B)  See herself or himself as being culturally competent. 
C)  Face the reality that cultural competence can take up to a year to achieve. 
D)  View herself or himself as becoming culturally competent. 
A)  Understand the cultural norms of the patient's community. 
B)  See herself or himself as being culturally competent. 
C)  Face the reality that cultural competence can take up to a year to achieve. 
D)  View herself or himself as becoming culturally competent.

Question 9

The nurse is caring for a patient of a culture different from her own.To provide culturally competent care for this patient,what does the nurse need to do?

Accepted Answer

A)  Not be curious about other ways of being in the world 
B)  Understand the forces that influence her own world view 
C)  Recognize that she must not hold any bias toward the patient 
D)  Have no predispositions relative toward the patient's culture 
A)  Not be curious about other ways of being in the world 
B)  Understand the forces that influence her own world view 
C)  Recognize that she must not hold any bias toward the patient 
D)  Have no predispositions relative toward the patient's culture

Question 10

The nurse is attempting to teach a patient how to perform wound care for when he goes home.Using the "teach back" method the nurse should do which of the following?

Accepted Answer

A)  Repeat the instructions until the patient understands. 
B)  Present the information and clarify with closed-ended questions. 
C)  Ask the patient if he understands the instructions. 
D)  Ask if the patient has any questions about the technique. 
A)  Repeat the instructions until the patient understands. 
B)  Present the information and clarify with closed-ended questions. 
C)  Ask the patient if he understands the instructions. 
D)  Ask if the patient has any questions about the technique.

Question 11

The current focus on promoting a culturally competent health care environment is on which of the following?

Accepted Answer

A)  The health care provider's efforts to become self-aware 
B)  The health care provider learning about other cultures 
C)  Avoiding the systematic provision of care 
D)  Ensuring that cultural competence is integrated into administrative processes 
A)  The health care provider's efforts to become self-aware 
B)  The health care provider learning about other cultures 
C)  Avoiding the systematic provision of care 
D)  Ensuring that cultural competence is integrated into administrative processes

Question 12

A nurse is in the process of admitting an ethnically diverse patient.To plan culturally competent care,what must the nurse do? (Select all that apply.)

Accepted Answer

A)  Assume that cultural processes are the same within a social group. 
B)  Conduct a systematic cultural assessment. 
C)  Communicate effectively. 
D)  Negotiate world view differences. 
A)  Assume that cultural processes are the same within a social group. 
B)  Conduct a systematic cultural assessment. 
C)  Communicate effectively. 
D)  Negotiate world view differences.

Exam 20: Cultural Awareness

When dealing with cultural awareness,the nurse realizes that the term oppression involves which of the following?

A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?

The student nurse has been studying different cultures in relationship to nursing.She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?

The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?

Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups that are often exacerbated by which of the following? (Select all that apply.)

Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?

The nurse is caring for a patient of a culture different from her own.To provide culturally competent care for this patient,what does the nurse need to do?

The nurse is attempting to teach a patient how to perform wound care for when he goes home.Using the "teach back" method the nurse should do which of the following?

The current focus on promoting a culturally competent health care environment is on which of the following?

A nurse is in the process of admitting an ethnically diverse patient.To plan culturally competent care,what must the nurse do? (Select all that apply.)

The Nursing Profession

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Ethics

Evidence-Based Practice

Critical Thinking

Nursing Process

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Communication

Patient Education

Managing Patient Care

Infection Prevention and Control

Vital Signs

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Administering Medications

Fluid,Electrolyte,and Acid-Base Balances

Caring in Nursing Practice

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Growth and Development

Self-Concept and Sexuality

Family Context in Nursing

Stress and Coping

Loss and Grief

Exercise and Activity

Safety

Hygiene

Oxygenation

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Nutrition

Urinary Elimination

Bowel Elimination

Immobility

Skin Integrity and Wound Care

Sensory Alterations

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